Integrated Brain Health Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital, Boston, MA; Department of Psychiatry, Harvard Medical School, Boston, MA; Department of Psychology, Stony Brook University, Stony Brook, NY.
Integrated Brain Health Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital, Boston, MA; Department of Psychiatry, Harvard Medical School, Boston, MA.
Psychosomatics. 2020 Sep-Oct;61(5):518-526. doi: 10.1016/j.psym.2020.04.003. Epub 2020 Apr 18.
Mild traumatic brain injury (mTBI; concussion) is a common and costly public health concern that exhibits diverse patterns of recovery, making ascertainment of prognosis difficult. Interpersonal factors are critical determinants of health and linked to both adjustment to injury and illness and may critically impact mTBI outcomes. However, their potential role remains largely unexplored at present.
To provide a framework for incorporating interpersonal factors into the study and treatment of mTBI.
We provide a narrative summary of the existing literature on adjustment to mTBI and present an overview of interpersonal biopsychosocial frameworks for adjustment to injury and illness.
We discuss ways of applying interpersonal framework models to the study of mTBI. In addition, we identified several factors or themes shared across frameworks that mTBI researchers and clinicians can integrate into their work. Finally, we discuss gaps in the literature and suggest directions for future research.
Adding an interpersonal framework to established biopsychosocial models in mTBI would allow for novel opportunities for prediction of symptom course and for the development of novel interventions.
轻度创伤性脑损伤（mTBI；脑震荡）是一种常见且代价高昂的公共卫生问题，其恢复模式多种多样，使得预后评估变得困难。人际因素是健康的关键决定因素，与对伤害和疾病的适应有关，并可能对 mTBI 的结果产生重大影响。然而，目前它们的潜在作用在很大程度上仍未得到探索。
为将人际因素纳入 mTBI 的研究和治疗提供框架。
我们对 mTBI 适应的现有文献进行了叙述性总结，并对适应伤害和疾病的人际生物心理社会框架进行了概述。
我们讨论了将人际框架模型应用于 mTBI 研究的方法。此外，我们确定了几个跨框架共享的因素或主题，mTBI 研究人员和临床医生可以将这些因素或主题纳入他们的工作中。最后，我们讨论了文献中的空白，并提出了未来研究的方向。
在 mTBI 中现有的生物心理社会模型中加入人际框架将为预测症状过程和开发新的干预措施提供新的机会。
